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Additional preconception measures include: Folic acid supplementation : 5 mg daily (higher dose than standard) should be commenced at least three months before conception and continued through the first 12 weeks of pregnancy to reduce neural tube defect risk Medication review : assessment of all medications for pregnancy safety, including blood pressure medications, cholesterol-lowering drugs, and other diabetes medications Retinopathy screening : diabetic eye screening should be current, as pregnancy can accelerate retinopathy progression Renal function assessment : baseline kidney function tests to identify any pre-existing diabetic nephropathy If you discover you are pregnant whilst taking Ozempic, contact your healthcare provider immediately do not wait for a scheduled appointment

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Marginal biotin deficiency is common in normal human pregnancy and is highly teratogenic in mice

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